Experience of using MRT imaging in specifying diagnosis of obstructive diseases of the biliopancreatoduodenal zone.

B. S. Zaporozhchenko; V. V. Kolodiy; S. V. Shpak; A. A. Gorbunov; P. T. Muravyov; I. V. Sharapov; V. G. Shevchenko; V. S. Ishchenko

doi:10.26641/2307-0404.2018.4(part1).145668

Experience of using MRT imaging in specifying diagnosis of obstructive diseases of the biliopancreatoduodenal zone.

Авторы

B. S. Zaporozhchenko https://orcid.org/0000-0003-0655-6539
V. V. Kolodiy https://orcid.org/0000-0002-7344-9357
S. V. Shpak https://orcid.org/0000-0003-4290-2363
A. A. Gorbunov https://orcid.org/0000-0001-7712-0738
P. T. Muravyov https://orcid.org/0000-0001-7733-885X
I. V. Sharapov https://orcid.org/0000-0002-3732-9921
V. G. Shevchenko https://orcid.org/0000-0001-7849-4897
V. S. Ishchenko

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145668

Ключевые слова:

magnetic resonance tomography, pancreatoduodenal resection, pancreatic cancer

Аннотация

The article presents the experience of surgical treatment of 12 patients with pancreatic cancer who were treated at the clinic of the Department of Surgery No. 2 of the ONMEDU during 2017. As a preoperative diagnosis, an MRI scan was performed in these patients. In general, the intraoperative size of the tumor was not significantly different from MRI - sizes: the medians of their differences were only + 5.5 mm and + 3.5 mm for the average and maximum MRT sizes. The calculated sensitivity and specificity of the method of MRTand CT in the assessment of artery invasion was 83.3% and 71.4% respectively, in the assessment of vein invasion - up to 50.0% and 42.9%, respectively. The combination of MRI and CT with intravenous contrast is the best option for planning surgical tactics today.

Биографии авторов

B. S. Zaporozhchenko

^{Odessa National Medical University
Department of Surgery N 2Valikhovsky Lane 2, Odessa, 65028, Ukraine}

V. V. Kolodiy

^{Odessa National Medical University
Department of Surgery N 2Valikhovsky Lane 2, Odessa, 65028, Ukraine}

S. V. Shpak

LLC «SEVILYA»
Odessa, 65000, Ukraine

A. A. Gorbunov

^{Odessa National Medical University
Department of Surgery N 2Valikhovsky Lane 2, Odessa, 65028, Ukraine}

P. T. Muravyov

^{Odessa National Medical University
Department of Surgery N 2Valikhovsky Lane 2, Odessa, 65028, Ukraine}

I. V. Sharapov

ME «Odessa Regional Clinical Medical Center»
Sudostroitelnaya str., 1, Odessa, 65000, Ukraine

V. G. Shevchenko

ME «Odessa Regional Clinical Medical Center»
Sudostroitelnaya str., 1, Odessa, 65000, Ukraine

V. S. Ishchenko

ME «Odessa Regional Clinical Medical Center»
Sudostroitelnaya str., 1, Odessa, 65000, Ukraine

Библиографические ссылки

Bronstein YL, Loyer EM, Kaur H, et al. Detection of small pancreatic tumors with multiphasic helical CT. AJR Am J Roentgenol. 2004;182:619-23.

Valls C, Andia E, Sanchez A, et al. Dual-phase helical CT of pancreatic adenocarcinoma: assessment of resectability before surgery. AJR Am Roentgenol. 2002;178:821-6.

Lall CG, Howard TJ, Skandarajah A, et al. New concepts of advanced pancreatic head cancer. AJR. Am J Roentgenol. 2007;189:1044-50.

Legmann P, Vignaux O, Dousset B, et al. Pancreatic tumors: comparison of dual-phase helical CT and endoscopic sonography. AJR Am J Roentgenol. 1998;170:1315-22.

Bilimoria KY, Bentrem DJ, Ko CY, et al. Validation of the 6th edition AJCC Pancreatic Cancer Staging System. Cancer; 2007.

Tseng JF, Tamm EP, Lee JE, et al. Venous resection in pancreatic cancer surgery. Best Pract Res Clin Gastroenterol. 2006;20(2):349-64.

Wong JC, Raman S. Surgical resectability of pancreatic carcinoma: CTA Abdominal imaging; 2009.

Загрузки

Как цитировать

Zaporozhchenko BS, Kolodiy VV, Shpak SV, Gorbunov AA, Muravyov PT, Sharapov IV, Shevchenko VG, Ishchenko VS. Experience of using MRT imaging in specifying diagnosis of obstructive diseases of the biliopancreatoduodenal zone. Med. perspekt. [Интернет]. 3 декабрь 2018 г. [цитируется по 24 ноябрь 2024 г.];23(4(part1):62-71. доступно на: https://journals.uran.ua/index.php/2307-0404/article/view/145668

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Выпуск

Том 23 № 4(part1) (2018)

Раздел

CLINICAL MEDICINE

Лицензия

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